Average charge
$211,330
Hospital list price billed
Average allowed
$41,736
Medicare's payment + patient's share
Medicare paid
$40,102
Average per service
State rank
#47 of 47
1 = lowest average payment
Hospitals in California billed an average of $211,330 for level 2 icd and similar procedures, about 5.1 times the average medicare-allowed amount of $41,736 . That payment is 35% above the U.S. average of $31,009.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $41,736 Billed $211,330
About 20¢ was paid for every $1 hospitals in California billed for this service.
See another state:
Choose a state
Alabama (27)
Alaska (2)
Arizona (33)
Arkansas (22)
California (145)
Colorado (32)
Connecticut (18)
Delaware (6)
Florida (111)
Georgia (49)
Hawaii (6)
Idaho (10)
Illinois (71)
Indiana (39)
Iowa (17)
Kansas (22)
Kentucky (25)
Louisiana (30)
Maine (6)
Massachusetts (34)
Michigan (47)
Minnesota (15)
Mississippi (17)
Missouri (43)
Montana (7)
Nebraska (18)
Nevada (14)
New Hampshire (11)
New Jersey (25)
New Mexico (11)
New York (61)
North Carolina (40)
North Dakota (6)
Ohio (61)
Oklahoma (25)
Oregon (16)
Pennsylvania (69)
Rhode Island (5)
South Carolina (25)
South Dakota (5)
Tennessee (34)
Texas (142)
Utah (11)
Vermont (2)
Virginia (39)
Washington (26)
West Virginia (13)
Wisconsin (37)
Wyoming (3)
California hospitals: level 2 icd and similar procedures
Every California hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Hospital
Services
Avg charge
Avg allowed
Medicare paid
Scripps Memorial Hospital la Jolla La Jolla 95
$195,776
$40,316 $38,681
Cedars-Sinai Medical Center Los Angeles 64
$642,827
$39,711 $38,079
John Muir Medical Center - Concord Campus Concord 63
$255,552
$44,955 $43,319
Stanford Hospital Palo Alto 56
$302,146
$46,171 $44,539
University of California San Diego Medical Center San Diego 53
$116,620
$40,316 $38,682
Hoag Memorial Hospital Presbyterian Newport Beach 49
$141,181
$39,985 $38,353
Enloe Medical Center Chico 47
$165,902
$40,316 $38,683
Saint Agnes Medical Center Fresno 46
$108,462
$40,316 $38,683
Eisenhower Memorial Hospital Rancho Mirage 43
$91,837
$39,416 $37,784
Sutter General Hospital Sacramento 42
$174,695
$44,058 $42,426
Santa Barbara Cottage Hospital Santa Barbara 41
$135,635
$43,176 $41,538
Community Regional Medical Center Fresno 38
$156,218
$40,316 $38,684
Mercy General Hospital Sacramento 34
$186,823
$41,879 $40,247
Grossmont Hospital La Mesa 34
$142,504
$40,316 $38,684
University of California Davis Medical Center Sacramento 31
$118,315
$40,874 $39,242
UCSF Medical Center San Francisco 30
$150,519
$46,171 $44,539
Loma Linda University Medical Center Loma Linda 29
$183,035
$40,316 $38,682
Adventist Health Bakersfield Bakersfield 29
$243,681
$38,990 $37,349
French Hospital Medical Center San Luis Obispo 28
$199,171
$38,934 $37,302
El Camino Hospital Mountain View 28
$208,364
$46,171 $44,539
Alta Bates Summit Medical Center Oakland 27
$195,249
$45,076 $43,444
Santa Rosa Memorial Hospital Santa Rosa 27
$237,209
$45,750 $44,118
Sequoia Hospital Redwood City 27
$210,584
$44,531 $42,890
Torrance Memorial Medical Center Torrance 27
$218,686
$40,316 $38,684
UCLA Medical Center Los Angeles 26
$106,779
$40,316 $38,684
Sharp Chula Vista Medical Center Chula Vista 24
$149,084
$38,704 $37,072
Salinas Valley Memorial Hospital Salinas 24
$252,219
$46,172 $44,530
USC University Hospital Los Angeles 24
$206,277
$40,316 $38,684
St Josephs Med Center of Stockton Stockton 23
$165,337
$44,985 $43,342
Mission Hospital Regional Med Center Mission Viejo 23
$98,920
$40,316 $38,673
Glendale Adventist Medical Ctr Glendale 22
$333,230
$40,316 $38,662
Shasta Regional Medical Center Redding 22
$228,873
$40,316 $38,671
California Pacific Medical Ctr-Pacific Campus Hosp San Francisco 20
$207,398
$46,868 $45,236
Kaweah Delta Medical Center Visalia 20
$150,643
$40,316 $38,684
Scripps Mercy Hospital San Diego 20
$211,216
$40,316 $38,676
Memorial Medical Center Modesto 20
$171,342
$40,316 $38,667
St Helena Hospital Deer Park 19
$312,797
$42,083 $40,451
Marian Medical Center Santa Maria 19
$191,189
$40,316 $38,684
USC Arcadia Hospital Arcadia 18
$312,597
$38,167 $36,535
Providence Tarzana Medical Center Tarzana 18
$86,255
$40,316 $38,684
Glendale Mem Hospital & Hlth Center Glendale 16
$233,780
$40,316 $38,669
Marinhealth Medical Center Greenbrae 16
$362,000
$45,792 $44,160
Peninsula Medical Center Burlingame 15
$168,817
$43,852 $42,220
St Joseph Hospital Eureka 14
$120,425
$40,316 $38,684
St Jude Medical Center Fullerton 14
$105,427
$37,553 $35,921
Emanuel Medical Center INC Turlock 14
$426,921
$41,195 $39,563
Dominican Hospital Santa Cruz 14
$102,997
$42,961 $41,329
Good Samaritan Hospital San Jose 14
$464,853
$46,171 $44,539
White Memorial Medical Center Los Angeles 13
$350,729
$40,316 $38,684
West Hills Hospital & Medical Center West Hills 12
$371,622
$40,316 $38,684
Queen of the Valley Medical Center Napa 11
$211,510
$45,921 $44,289
Antelope Valley Hospital Med Center Lancaster 11
$293,664
$40,316 $38,684
St Joseph Hospital Orange 11
$102,420
$40,316 $38,684
Saint John's Health Center Santa Monica 11
$90,969
$40,316 $38,684
Sonora Community Hospital Sonora 11
$245,652
$43,176 $41,544
Good Samaritan Hospital Los Angeles 11
$112,394
$40,316 $38,684
St Rose Hospital Hayward –
–
– –
Riverside Community Hospital Riverside –
–
– –
Oroville Hospital Oroville –
–
– –
Bakersfield Memorial Hospital Bakersfield –
–
– –
Santa Clara Valley Medical Center San Jose –
–
– –
El Centro Regional Medical Center El Centro –
–
– –
John Muir/Mt Diablo Hlth Syst Walnut Creek –
–
– –
St Johns Regional Medical Center Oxnard –
–
– –
Sonoma Valley Hospital Sonoma –
–
– –
San Antonio Community Hospital Upland –
–
– –
Sharp Memorial Hospital San Diego –
–
– –
Sutter Solano Medical Center Vallejo –
–
– –
Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Santa Monica –
–
– –
Palomar Medical Center Escondido –
–
– –
Northridge Hospital Medical Center Northridge –
–
– –
Hanford Community Medical Center Hanford –
–
– –
Dameron Hospital Stockton –
–
– –
Verdugo Hills Hospital Glendale –
–
– –
Regional Medical Center of San Jose San Jose –
–
– –
Tri-City Medical Center Oceanside –
–
– –
St Bernardine Medical Center San Bernardino –
–
– –
Rideout Memorial Hospital Marysville –
–
– –
Kaiser Foundation Hospital - los Angeles Los Angeles –
–
– –
Kaiser Foundation Hospital Bellflower –
–
– –
Kaiser Foundation Hospital Fontana Fontana –
–
– –
Community Hospital of the Monterey Peninsula Monterey –
–
– –
California Hospital Medical Center la Los Angeles –
–
– –
San Joaquin General Hospital French Camp –
–
– –
John Muir Medical Center - Walnut Creek Campus Walnut Creek –
–
– –
St Mary Medical Center Long Beach –
–
– –
Washington Hospital Fremont –
–
– –
Palmdale Regional Medical Center Lancaster –
–
– –
Ahmc Anaheim Regional Medical Center Anaheim –
–
– –
Pomona Valley Hospital Medical Center Pomona –
–
– –
Providence Saint Joseph Medical Ctr Burbank –
–
– –
Simi Valley Hospital & Health Care Services Simi Valley –
–
– –
Desert Regional Medical Center Palm Springs –
–
– –
Natividad Medical Center Salinas –
–
– –
Marshall Medical Center (1-Rh) Placerville –
–
– –
Sierra View District Hospital Porterville –
–
– –
Redlands Community Hospital Redlands –
–
– –
Mercy Medical Center Redding Redding –
–
– –
Stanford Health Care Tri-Valley Pleasanton –
–
– –
Seton Medical Center Daly City –
–
– –
Sutter Medical Center of Santa Rosa Santa Rosa –
–
– –
Riverside County Regional Medical Center Moreno Valley –
–
– –
Barstow Community Hospital Barstow –
–
– –
St Mary Medical Center Apple Valley –
–
– –
Ukiah Valley Medical Center/Hospital D Ukiah –
–
– –
Sutter Roseville Medical Center Roseville –
–
– –
Sutter Tracy Community Hospital Tracy –
–
– –
Corona Regional Medical Center Corona –
–
– –
UCI Health-Orange Orange –
–
– –
Providence Little Company of Mary Med Ctr Torrance Torrance –
–
– –
Northbay Medical Center Fairfield –
–
– –
Los Angeles General Medical Center Los Angeles –
–
– –
Lac/Harbor-UCLA Med Center Torrance –
–
– –
Emanate Health Inter-Community Hospital Covina –
–
– –
Hemet Valley Medical Center Hemet –
–
– –
Downey Regional Medical Center Downey –
–
– –
Community Memorial Hospital - Ventura Ventura –
–
– –
Huntington Memorial Hospital Pasadena –
–
– –
Mercy Medical Ctr Merced Merced –
–
– –
Doctors Medical Center Modesto –
–
– –
Long Beach Memorial Medical Center Long Beach –
–
– –
Clovis Community Medical Center Clovis –
–
– –
Scripps Memorial Hospital - Encinitas Encinitas –
–
– –
Mercy San Juan Medical Center Carmichael –
–
– –
Victor Valley Community Hospital Victorville –
–
– –
Sutter Delta Medical Center Antioch –
–
– –
Los Robles Hospital & Medical Center Thousand Oaks –
–
– –
Los Alamitos Medical Center Los Alamitos –
–
– –
Fountain Valley Regional Hospital & Medical Center Fountain Valley –
–
– –
Lakewood Regional Medical Center Lakewood –
–
– –
Chino Valley Medical Center Chino –
–
– –
UCI Health-Placentia LindaPlacentia
–
–
– –
Saddleback Memorial Medical Center Laguna Hills –
–
– –
Henry Mayo Newhall Memorial Hospital Valencia –
–
– –
Orange Coast Memorial Medical Center Fountain Valley –
–
– –
San Ramon Regional Medical Ctr San Ramon –
–
– –
Southwest Healthcare System Murrieta –
–
– –
Desert Valley Hospital Victorville –
–
– –
Kaiser Foundation Hospital - Baldwin Park Baldwin Park –
–
– –
Garfield Medical Center Monterey Park –
–
– –
Sutter Surgical Hospital - North Valley Yuba City –
–
– –
Loma Linda University Medical Center-Murrieta Murrieta –
–
– –
Temecula Valley Hospital Temecula –
–
– –
Adventist Health Tulare Tulare –
–
– –
Lucile Salter Packard Children's Hsp at Stanford Palo Alto –
–
– –
Lowest and highest allowed amounts in California
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
St Jude Medical Center Fullerton, CA $37,553 USC Arcadia Hospital Arcadia, CA $38,167 Sharp Chula Vista Medical Center Chula Vista, CA $38,704 French Hospital Medical Center San Luis Obispo, CA $38,934 Adventist Health Bakersfield Bakersfield, CA $38,990
Highest
California Pacific Medical Ctr-Pacific Campus Hosp San Francisco, CA $46,868 Salinas Valley Memorial Hospital Salinas, CA $46,172 El Camino Hospital Mountain View, CA $46,171 Good Samaritan Hospital San Jose, CA $46,171 Stanford Hospital Palo Alto, CA $46,171
Level 2 ICD and Similar Procedures in other states
Questions
How much does level 2 icd and similar procedures cost in California? In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 145 hospitals in California was billed at $211,330 on average, while the average medicare-allowed amount was $41,736, of which Medicare paid $40,102. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments? Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in California, average charges were 5.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data .
